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Recent amendments to Japans Medical Care Act were supposed to prevent this

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D. C. Morris, M. Chopp, L. Zhang, and Z. G. Zhang, Thymosin 4: a candidate for treatment of stroke?, Wiley, May 2010. doi: 10.1111/j.1749-6632.2010.05469.x

Minerva will request a meeting to discuss the issues raised and attempt to address FDAs feedback, CEO Remy Luthringer said in a statement

This is concerning because PWS is associated with a high rate of gastrointestinal issues, including chronic constipation, intestinal blockage, and delayed gastric emptying, along with an increased pain threshold